Elissa Cae Evans, LCSW is a
Counselor - Addiction (substance Use Disorder) based in Cedar City, Utah. Elissa Cae Evans is licensed to practice in Nevada (license number 00722P) and her current practice location is
88 E Fiddlers Canyon Rd Ste 122, Cedar City, Utah. She can be reached at her office (for appointments etc.) via phone at
(702) 775-2738.
NPI number for Elissa Cae Evans is 1790331858 and her current mailing address is Po Box 784, Panaca, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790331858.
Healthcare Provider's Profile
| Full Name | Elissa Cae Evans |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 88 E Fiddlers Canyon Rd Ste 122, Cedar City, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790331858
- Provider Enumeration Date: 08/14/2019
- Last Update Date: 03/27/2024
Medical Identifiers
Medical identifiers for Elissa Cae Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790331858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Utah) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00722P (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elissa Cae Evans is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Elissa Cae Evans, LCSW
Po Box 784,
Panaca, NV 89042-0784
Ph: (702) 461-6484 | Elissa Cae Evans, LCSW
88 E Fiddlers Canyon Rd Ste 122,
Cedar City, UT 84721-9787
Ph: (702) 775-2738 |
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